Individual
DR. BRENT DANIEL ZASTROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
H2005 KNIGHT LANE, JACKSONVILLE, FL 32212-0140
(904) 542-7200
Mailing address
2005 KNIGHT LANE, BLDG H, JACKSONVILLE, FL 32212-0140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9316
KY
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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